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HomeMy WebLinkAboutXR2022-2123 - Permits£wPORT City of Newport Beach O Community Development Department- Building Division F � 100 Civic Center Drive, Newport Beach, CA 92660 u > 2 Permit Counter Phone: (949) 644-3288 ":. Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP Work Class - Other II III I I I II I II I III II II III II COMB Permit : XR2022-2123 Plan Check No: Issued Date : 0810812022 Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 1832 NEWPORT HILLS DR E Description: SFR DEMO SPA "METHOD A" Owner: MAULDIN DONALD GENE TR Address: 1832 NEWPORT HILLS DR E NEWPORT BEACH, CA 92660 Phone : Applicant: FRISCH & SONS CONSTRUCTION INC Address: 254 N ORANGEHILL LN ORANGE, CA 92887 Phone : (714) 282-0843 Owner/Builder : Address Phone : Legal Desc : N TR 7031 BLK LOT 67 Contractor: FRISCH & SONS CONSTRUCTION INC Architect Address ; 254 N ORANGEHILL LN ORANGE, CA Address 92887 Phone: (714)282-0843 Phone: Con State Lic : 696810 State Lic Lic Expire : 06/30/2023 Bus Lic: BT30074343 Engineer: Bus Lic Expire : 02/28/2023 Address Workers' Compensation Insurance Phone: Carrier: STATE COMP Policy No: 9040338 Designer: W. C. Expire: 1/1/2023 Address Phone: 11e14 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : Type of Construction : Fire Hazard Zone : No Added/New/TI sq. ft. Bldg Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 0 Added/New sq. ft. Garage Building Setbacks : Front: 21, Side: 5, Side: 5, Rear: 10 Flood Zone: X Use Zone : PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: $2,500.00 0 M OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors! State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensers, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ f as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property; provided that the improvements are not intended or offered for sale. if, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built. or Improved for the purpose of sale). 0 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Coda: The Contractors' State License Law dues not ?[r,Aly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt here licensure under the Contractors' $lbr a License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I.cannot legalb sell a structure that I have built as an owner builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at the fotowmg Web site.http:ffwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent � Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 icommerroing with Section 0. )OF 1 3 ¢f the Business and Pr stuns C tCense full force and effect. License Class License. No Date V Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB.7ECT AN EMPLOYER TO CR[MINAL PENALTIES AND CIVIC PINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100 000). IN ADDITION TO THE 'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706.OF THE LABOR CODE, INTEREST. Me ATTORNEY'S FEES. ^hfereby affirm under penalty of perjury one of the following declarations: ,.,,! I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th >e;formance of the work for which this permit is issued.. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the performance of the work for which this permit is Issued. My workers' ranee carrier and policy number are: Policy Number of Agent Date I certify that, in the performance of the Al e f or vorfCch this permit is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation taws of California. and agra. let if I should become s bject to t ompensation provisions of Section 3700 or the Labor Code, I shall forthwith comply with those provisions. `� Sgnatur8 of A{rpllsart _ Dar /d Z IECI.ARAT74N REG ONSTRUCTtON LENDING AGENCY —"-"________......_......__.-._.._._...-_ _ hereby affirm under all} f perjury that there is a Construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ I Code): Ruder's Name Lender's Address 'y my signature below, I certify to each of the following: I am the property owner or authorized to acton the property owner's behalf. I have read t I application and the information I IT provide IT L I agree to co p:/ with all applicable city and county ordln a nd state laws relating to building construction. I c:r'horize repro s:ntatives of this cityor ccu en lib reperty for inspection purposes. AC(ION DATE B ECLARATCTN OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RU LE _ 1 1403 PERMIT EXP7NkD—I ElpsuBMITTED A5BESTOS NOTIFICATION TO PERMIT CANCEELCD� I OPPA PE,tMU FINAL /a/Zt I DL -F'Ot� I UA58ESTOS NOTIFICATION 15 NOT APPLICABLE TO CERARCATE OF PROPOSED DEMOLITION OCCUP,'NCY FSSUW __....-..T_ RT ..._._..SIGNATURE:____.. FOR OFFICE USE ONLY All required alarms, latches gates and fences Which serve as part of a pool/spa barrier,. shall be in place prior to approval to fill pool/spa& shall remain in place & be maintained for the life of the pool.